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NPI Code Detail

MEDICARE: JESSICA MONTGOMERY HELTON FNP

MEDICARE: JESSICA MONTGOMERY HELTON FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner2026006300MO
2363L00000XNurse Practitioner3010102KY
3363L00000XNurse Practitioner20866TN
4363L00000XNurse Practitioner0024191340VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780060913
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA MONTGOMERY HELTON FNP
Provider Business Mailing Address
First Line : 509 MEMORIAL DR STE 2
Second Line :
City : MANCHESTER
State : KY
Zip : 40962-6196
Country : US
Telephone Number : 606-598-5104
Fax Number : 606-598-0983
Provider Business Practice Location Address
First Line : 11815 FOUNTAIN WAY STE 300
Second Line :
City : NEWPORT NEWS
State : VA
Zip : 23606-4448
Country : US
Telephone Number : 866-849-0692
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2015
Last Update Date : 02/11/2026

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Directions to “ JESSICA MONTGOMERY HELTON FNP” Practice Location

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